Good luck with your knee surgery. Speedy recovery.Speculation on 'events'un-related to the knee, and infection(s) due to surgery:
The expression of 'lyme taking-off' more probably is the immune system, and natural inflammatory and other natural processes kicking-in to stave-off infection(s), and healing reaction, rather than Bb going wild, even though it probably is contibuting, esp. if a steroid is needed, I would rank-speculate.
What might be good to do, form an un-related experience with a pic-line infection:
Had self-Dx'd pic-line infection that I nipped in the bud by taking a product called,"T-cell Formula", by the company called Ecological Formulas.
Had burning sensation starting at entrance to arm that, over 4 days, worsened, and by 4th day was deep in my arm(I assumed my vein(duh), AND that had traveled 2/3 up the arm(still deep). A constant sensation. The small perimenter-circle of redness around entrance site of i.v. line due to pic-line irritation due to inevitable movement of line against skin,etc. became wider, and also burnt(hot sensation there), the burning having advanced up, and deep in the arm over 4 days.
By 4th day, I was having armagaeddeion-oid anxiety about an eventual 'heart attack'from this sensation daily advancing up my arm, and with no 'quid' for the medical 'pro' to get something for it.
I had NO VISIBLE RED LINE UP THE ARM, a classical sign of other types of infection(s), from which without medical attention, one can go 'night-night'.
Out of desperation I got a bottle of this T-cell stuff. I forget the rationale for why I got specifically this kind of product.
Result:
2-4 hours after taking the stuff, I felt a noticeable decrease in intensity of the burning, and irritation sensations deep in arm. This 'line of deep, vibrative-burn-irritation' sensation shortened a little bit from the 2/3 'rds length, but not much. A decreased intensity of the sensation at the entrance of the pic-line.
By the second day the arm-sensation was down,say '70 %' (wild guess), and anxiety down a little. I knew I was on to something here, but no clue as to why/how come.
The short of it:
By the 4th-5th day, line of deep 'vibrative burn-irritation' for the lenth of the vein in the arm went down by 90%, and days later gone 95-97%, including the perimeter-circle-ring of red/warmness around the entrance hole of line gone by 95-97%.
By day 7,infectional sensations completely gone, except for superficial irritation at the level of only the skin at the entrance hole for the pic-line, and the funky feeling of the pic-line in the arm.
Again, while this was not my knee, infection, and further inflammation is the point, and how I resolved this.
On the other hand, the hole(s)/ or long scars in the knee are opening(s) orders of magntude greater than a pic-line hole, and obviously the T-cell formula alone is not going to do the job of antibiotics and post-op care; nonetheless, this or even a similar formula might be adjunctive, and shorten convalescence from surgery.
An infectious disease doc or an immunologist knowledgeable in the use of this and similar formulatons would know almost for sure, if this or a similar prep. would do the job(s)
of shortening convalescence/healing.
If I had a small,surgical hole in my arm, and this T-cell prep. did what it did, then it or a like-prep. should do the same.
One key thing is to keep circulation going on there for the purpose of processing tissue debris out and nutrients, and immune sys. and healing stuff coming into the would.
In the event you think you'll have to do a '911' or go to the emerg. room, call the ANY hospital e.r.'s non-emerg. number in the e.r., and ask the staff what to do about whatever's going on. I did this when I had the pic-line problem above, and they were helpful. No trip to the e.r.
pq
[This message has been edited by pq (edited 27 April 2005).]